Still Harbor Counseling

Therapy & Wellbeing
88 Cove Street, Suite 200, Portland, ME 04101 · (207) 555-0142 · stillharborcounseling.example
Individual Treatment Plan & Goals
Plan No.
SH-2026-117
Created
March 6, 2026
Review By
May 29, 2026
Client
J. M.Adult · Telehealth + in-person · Self-referred
Clinician
Maya Okafor, LCSWLicensed Clinical Social Worker · ME #LC-8841
Episode of Care
12 weeks · weeklyCBT-informed · 50-min sessions
Where we're starting

You came in describing <b>persistent, hard-to-control worry</b> most days for the past several months — racing thoughts, trouble falling asleep, muscle tension, and avoidance of work emails and social plans. Together we understand this as <b>generalized anxiety disorder</b>.

You also named real strengths to build on: you're insightful about your patterns, you follow through once a plan is clear, and you have a supportive partner. This plan turns that into a steady, week-by-week path back to feeling like yourself.

GAD · F41.1Moderate severityNo safety concernsStrengths-based
Goals we'll work toward
1
Lower day-to-day anxiety
Reduce GAD-7 score from 15 (moderate-severe) to 8 or below, tracked every other week.
Measure
GAD-7 ≤ 8
2
Sleep through the night
Fall asleep within 30 minutes and wake rested at least 5 nights a week, using a wind-down routine.
Target
5+ nights / wk
3
Re-engage with life
Return to two avoided activities (replying to work email same-day; one weekly social plan) without escalating dread.
By week
Week 8
How we'll get there
Wks 1–3
<b>Build the map.</b> Psychoeducation on the worry cycle, daily thought + sleep log, and shared goal-setting.
Wks 4–8
<b>Core CBT work.</b> Cognitive restructuring of worry thoughts, graded exposure to avoided tasks, behavioral activation.
Wks 9–11
<b>Strengthen & generalize.</b> Practice skills in real settings, problem-solve setbacks, build relapse-prevention plan.
Wk 12
<b>Review & step down.</b> Re-measure GAD-7, celebrate gains, and decide on maintenance or spacing sessions.

<b>Box breathing</b> — a 4-4-4-4 reset to use the moment worry spikes, before it builds.

<b>Worry window</b> — a scheduled 15-min daily slot to contain rumination instead of all-day spillover.

<b>Thought records</b> — catch a hot thought, test the evidence, and write a fairer one.

<b>Wind-down routine</b> — screens off, dim lights, and a short body scan 45 minutes before bed.

Session cadence & review
Phase 1
Weekly
50-min individual sessions, Tuesdays 10:00am
Check-ins
Bi-weekly GAD-7
Brief measure at weeks 2, 4, 6, 8, 10, 12
Review
Week 12
Formal progress review & plan update
<b>This plan is collaborative and living.</b> We'll revisit goals together at the 6-week mark and adjust pace, focus, or frequency to match how you're doing — your input shapes the plan as much as mine.

If you need support between sessions

Reach me at the office line during business hours. <b>In a crisis or if you ever feel unsafe, call or text 988</b> (Suicide &amp; Crisis Lifeline), available 24/7, or go to your nearest emergency room. You are never a burden for reaching out.

Agreed together

We reviewed this plan, and it reflects the goals and approach we agreed on. The client received a copy.

Client signature · Date
Maya Okafor, LCSW · Date
Still Harbor Counseling · Confidential clinical record · Protected under HIPAA · stillharborcounseling.example
This plan is a shared agreement between you and your therapist and may be updated together at any time.